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The case for mindfulness interventions for traumatic stress in high violence, low resource settings

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Abstract

Academic research on mindfulness has grown exponentially over the last few decades. Despite initial skepticism from some Western sources, the evidence base suggests that mindfulness training (MT) may impact positively on physical and psychological health in both clinical and non-clinical contexts. This paper explores the contention that MT may offer an evidenced-based, comprehensive, contextually relevant, and holistic approach to addressing the individually intensive and socially extensive impact of psychological trauma in South Africa and other similar settings characterized by high levels of violence and limited professional intervention resources. Three inter-related issues are explored in support of this proposal: firstly, evidence that mechanisms of trauma impact and mindfulness benefit are closely inter-related; secondly, the fact that mindfulness can produce both immediate therapeutic and long term prophylactic gain and may therefore be of benefit not only for past traumatization but also in contexts of continuous traumatic stress; and thirdly, the contention that MT may be an appropriate community based intervention in mental health resource constrained contexts.

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  1. Psychology Department, University of Witwatersrand, Johannesburg, South Africa

    Kanthamoney Pillay & Gillian Eagle

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The article was jointly conceptualized by Author 1 and Author 2. Author 1 produced the first draft of the text. Author 2 then added to the text and refined the arguments in the text. Both authors therefore contributed substantively to the writing of the manuscript with Author 1 contributing more material to the overall manuscript and therefore taking first authorship.

Pillay Contributed to conceptualization and first draft of full article and subsequently to further refinement of the manuscript based on feedback from Eagle. Pillay also did final preparation of the manuscript for submission.

Eagle Contributed to conceptualization of article and wrote several sections of the manuscript. She contributed to refining argumentation and re-ordering of initial material for coherence. She also contributed to editing of several drafts.

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Correspondence to Kanthamoney Pillay.

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Pillay, K., Eagle, G. The case for mindfulness interventions for traumatic stress in high violence, low resource settings. Curr Psychol 40, 2400–2414 (2021). https://doi.org/10.1007/s12144-019-00177-1

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